MR. Jack A Kooienga, APRN is an acute care nurse practitioner in Wyoming, MI with 21 years of experience. MR. Jack A Kooienga, APRN NPI is 1518216308. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519-606
Phone: (616) 252-7200
Fax: (616) 252-7830
The NPI 1518216308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/7/2012 and was last updated on 8/9/2021.